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Dying Infants and No Medicine: Inside Venezuela's Failing Hospitals - The New York Times - 0 views

  • Dying Infants and No Medicine: Inside Venezuela’s Failing Hospitals
  • “The death of a baby is our daily bread,” said Dr. Osleidy Camejo, a surgeon in the nation’s capital, Caracas, referring to the toll from Venezuela’s collapsing hospitals.
  • It is just part of a larger unraveling here that has become so severe it has prompted President Nicolás Maduro to impose a state of emergency and has raised fears of a government collapse.
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  • Gloves and soap have vanished from some hospitals. Often, cancer medicines are found only on the black market. There is so little electricity that the government works only two days a week to save what energy is left.
  • At the University of the Andes Hospital in the mountain city of Mérida, there was not enough water to wash blood from the operating table. Doctors preparing for surgery cleaned their hands with bottles of seltzer water.
  • The hospital has no fully functioning X-ray or kidney dialysis machines because they broke long ago. And because there are no open beds, some patients lie on the floor in pools of their blood.
  • This nation has the largest oil reserves in the world, yet the government saved little money for hard times when oil prices were high.
  • So without water, gloves, soap or antibiotics, a group of surgeons prepared to remove an appendix that was about to burst, even though the operating room was still covered in another patient’s blood.
  • In April, the authorities arrested its director, Aquiles Martínez, and removed him from his post. Local news reports said he was accused of stealing equipment meant for the hospital, including machines to treat people with respiratory illnesses, as well as intravenous solutions and 127 boxes of medicine.
  • In a supply room, cockroaches fled as the door swung open.
  • Ms. Parucho, a diabetic, was unable to receive kidney dialysis because the machines were broken. An infection had spread to her feet, which were black that night. She was going into septic shock.
  • A holiday had been declared by the government to save electricity, and the blood bank took donations only on workdays.
  • For the past two and a half months, the hospital has not had a way to print X-rays. So patients must use a smartphone to take a picture of their scans and take them to the proper doctor.
  • Near him, a handwritten sign read, “We sell antibiotics — negotiable.” A black-market seller’s number was listed.
  • The ninth floor of the hospital is the maternity ward, where the seven babies had died the day before. A room at the end of the hall was filled with broken incubators.
  • The day of the power blackout, Dr. Rodríguez said, the hospital staff tried turning on the generator, but it did not work.
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Gloves Come Off (Again) in Ukraine's Parliament - The New York Times - 0 views

  • A brawl erupted after Prime Minister Arseniy Yatsenyuk was dragged from the podium, which led to other members rushing in to join the scuffle.
  • The prime minister, Arseniy P. Yatsenyuk, had been answering questions at the rostrum and apparently angered a member of Parliament, Oleg Barna, with one response. Mr. Yatsenyuk had deflected a criticism of his cabinet’s energy policy by noting the energy minister is a member of Mr. Barna’s party.
  • Mr. Barna handed the bouquet to the perplexed Mr. Yatsenyuk, then set upon him, apparently trying to lift and carry off the prime minister, who resisted only by clutching the wooden rostrum. The brawl ensued as supporters of Mr. Yatsenyuk rushed to his defense, and then fought with backers of Mr. Barna.
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  • “It’s not a European action, but we won’t overcome this evil any other way,” he told journalists.
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Quarantine: How to prepare to isolate due to possible coronavirus infection - CNN - 0 views

shared by nrashkind on 29 Mar 20 - No Cached
  • It's a scenario all too many of us are facing -- or will soon face.
  • You or a loved one has a mild fever, body aches, the start of a nagging, dry cough. Food doesn't taste good nor smell as it once did. Maybe you have shortness of breath or struggle to breath deeply.
  • The rest of us with symptoms but no additional known risk factors will also certainly be told to stay home, rest and drink plenty of fluids, all while keeping a close eye on how we feel.
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  • Preparation is the key to a good plan.
  • Hopefully, you've been following standard hygiene practices. These are behaviors we should be doing daily, automatically, to protect ourselves from germs, colds and flu:
  • Avoid touching your eyes, nose and mouth with unwashed hands; cough and sneeze into elbows or tissues that you immediately throw away, and regularly wash, wash, wash those hands with warm water and lots of soapy bubbles.
  • Parents and guardians should plan well in advance by setting up a structure in which all kids and potential caregivers know their roles and expectations, said pediatrician Dr. Tanya Altmann, Editor-in-Chief of the American Academy of Pediatrics' book "Caring for Your Baby and Young Child: Birth to Age 5 and The Wonder Years."
  • A working thermometer to monitor fever, which is considered to be 100 degrees Fahrenheit (37.7 degrees Celsius), and a method to clean it, such as Isopropyl alcohol.
  • Fever reducing medications, such as acetaminophen.
  • Regular soap and 70% alcohol-based hand sanitizer (antibacterial soap isn't necessary if you wash properly, and that way you won't will contribute to the world's growing antibiotic-resistant superbugs).
  • Tissues to cover sneezes and coughs. But there's really no need to hoard toilet paper -- this is a respiratory disease.
  • Regular cleaning supplies, kitchen cleaning gloves and trash can liners.
  • Disinfectant cleaning supplies -- the CDC suggests picking from a list that meets the virus-fighting standards of the US Environmental Protection Agency, but says you can also make your own version by using 1/3 cup unexpired bleach per gallon of water or 4 teaspoons bleach per quart of water. Never mix bleach with ammonia or any other cleanser -- it produces toxic gases.
  • If you live alone, that's not difficult. Your challenge is to monitor your symptoms and care for yourself when you're not feeling well. Be sure to have a plan in place to deliver food and medications, and find someone who can be responsible for virtually checking in on you on a regular basis.
  • The rest of the family should practice isolation as well, Radesky added.
  • If you are running short on face masks, or don't have any because of hoarding, try to protect the caregiver as best you can, the CDC says.
  • Altmann stresses maximizing isolation and protective actions.
  • "You can have a healthy person leave the sick one food and drinks at the door, and then go wash their hands," Altmann explained. "Wear gloves to pick up the empty plates, take them back to the kitchen and wash them in hot water with soap, or preferably with a dishwasher, and wash your hands again."
  • One last, very important thing: Call 911 immediately if you or your loved ones have any of these symptoms: increased or sudden difficulty breathing or shortness of breath; a persistent pain or pressure in the chest; and any sign of oxygen deprivation, such as new confusion, bluish lips or face, or you can't arouse the sick person.
  • To be clear: Everyone in the house needs to isolate themselves from the outside world as much as possible.
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More Americans Should Probably Wear Masks for Protection - The New York Times - 0 views

  • healthy individuals, especially those with essential jobs who cannot avoid public transportation or close interaction with others, may need to start wearing masks more regularly.
  • A new report from the C.D.C., published Friday, also suggests that several residents of a nursing facility in King County, Washington, either did not have any symptoms or developed very mild symptoms only after they had been confirmed to have a coronavirus infection.
  • Masks work by stopping infected droplets spewing from the wearer’s nose or mouth, rather than stopping the acquisition of virus from others. That is why the W.H.O. and C.D.C. recommend that people already infected with the coronavirus wear masks, to protect others who may come into close contact with them
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  • if healthy individuals start stockpiling surgical masks and high-grade N95 masks, they can also make it harder for health workers to get the resources they need to help on the front lines.
  • But studies of influenza pandemics have shown that when high-grade N95 masks are not available, surgical masks do protect people a bit more than not wearing masks at all. And when masks are combined with hand hygiene, they help reduce the transmission of infections.
  • When researchers conducted systematic review of a variety of interventions used during the SARS outbreak in 2003, they found that washing hands more than 10 times daily was 55 percent effective in stopping virus transmission, while wearing a mask was actually more effective — at about 68 percent
  • Wearing gloves offered about the same amount of protection as frequent hand-washing, and combining all measures — hand-washing, masks, gloves and a protective gown — increased the intervention effectiveness to 91 percent.
  • Classified data from the Chinese government that was reported in the South China Morning Post indicated that up to a third of all people who tested positive for the coronavirus could have been silent carriers.
  • Widespread testing on the Diamond Princess showed that half of the positive cases on board the cruise ship had no symptoms.
  • While wearing a mask may not necessarily prevent healthy people from getting sick, and it certainly doesn’t replace important measures such as hand-washing or social distancing, it may be better than nothing,
  • “It’s still hard to tell what percentage of people are truly asymptomatic because many go on to develop symptoms a few days later,
  • “What we do know is that individuals can shed virus about 48 hours before they develop symptoms and masking can prevent transmission from those individuals.”
  • Wearing a mask can also reduce the likelihood that people will touch their face
  • In many Asian countries, everyone is encouraged to wear masks, and the approach is about crowd psychology and protection. If everyone wears a mask, individuals protect each other, reducing overall community transmission
  • The sick automatically have one on and are also more likely to adhere to keeping their mask on because the stigma of wearing one is removed.
  • Masks are also an important signal that it’s not business as usual during a pandemic
  • They may also serve as an act of solidarity, showing that all citizens are on board with the precautionary measures needed to bring infections under control.
  • “If everyone in the community wears a mask, it could decrease transmission,” Dr. Fishman said. “But unfortunately I think that we don’t have enough masks to make that effective policy in the U.S.”
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The Aspiring Novelist Who Became Obama's Foreign-Policy Guru - The New York Times - 0 views

  • Standing in his front office before the State of the Union, Rhodes quickly does the political math on the breaking Iran story. “Now they’ll show scary pictures of people praying to the supreme leader,” he predicts, looking at the screen. Three beats more, and his brain has spun a story line to stanch the bleeding. He turns to Price. “We’re resolving this, because we have relationships,” he says.
  • Price turns to his computer and begins tapping away at the administration’s well-cultivated network of officials, talking heads, columnists and newspaper reporters, web jockeys and outside advocates who can tweet at critics and tweak their stories backed up by quotations from “senior White House officials” and “spokespeople.” I watch the message bounce from Rhodes’s brain to Price’s keyboard to the three big briefing podiums — the White House, the State Department and the Pentagon — and across the Twitterverse, where it springs to life in dozens of insta-stories, which over the next five hours don formal dress for mainstream outlets. It’s a tutorial in the making of a digital news microclimate — a storm that is easy to mistake these days for a fact of nature, but whose author is sitting next to me right now.
  • Watching Rhodes work, I remember that he is still, chiefly, a writer, who is using a new set of tools — along with the traditional arts of narrative and spin — to create stories of great consequence on the biggest page imaginable. The narratives he frames, the voices of senior officials, the columnists and reporters whose work he skillfully shapes and ventriloquizes, and even the president’s own speeches and talking points, are the only dots of color in a much larger vision about who Americans are and where we are going
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  • When I asked Jon Favreau, Obama’s lead speechwriter in the 2008 campaign, and a close friend of Rhodes’s, whether he or Rhodes or the president had ever thought of their individual speeches and bits of policy making as part of some larger restructuring of the American narrative, he replied, “We saw that as our entire job.”
  • I realize during our conversations that the role Rhodes plays in the White House bears less resemblance to any specific character on Beltway-insider TV shows like “The West Wing” or “House of Cards” than it does to the people who create those shows
  • “I love Don DeLillo,” I answer.“Yeah,” Rhodes answers. “That’s the only person I can think of who has confronted these questions of, you know, the individual who finds himself negotiating both vast currents of history and a very specific kind of power dynamics. That’s his milieu. And that’s what it’s like to work in the U.S. foreign-policy apparatus in 2016.” Advertisement Continue reading the main story
  • “I immediately understood that it’s a very important quality for a staffer,” Hamilton explained, “that he could come into a meeting and decide what was decided.” I suggested that the phrase “decide what was decided” is suggestive of the enormous power that might accrue to someone with Rhodes’s gifts. Hamilton nodded. “Absolutely,” he said.
  • Rhodes’s opinions were helpful in shaping the group’s conclusions — a scathing indictment of the policy makers responsible for invading Iraq. For Rhodes, who wrote much of the I.S.G. report, the Iraq war was proof, in black and white, not of the complexity of international affairs or the many perils attendant on political decision-making but of the fact that the decision-makers were morons.
  • when Rhodes joined the Obama campaign in 2007, he arguably knew more about the Iraq war than the candidate himself, or any of his advisers. He had also developed a healthy contempt for the American foreign-policy establishment, including editors and reporters at The New York Times, The Washington Post, The New Yorker and elsewhere, who at first applauded the Iraq war and then sought to pin all the blame on Bush and his merry band of neocons when it quickly turned sour
  • It is hard for many to absorb the true magnitude of the change in the news business — 40 percent of newspaper-industry professionals have lost their jobs over the past decade — in part because readers can absorb all the news they want from social-media platforms like Facebook, which are valued in the tens and hundreds of billions of dollars and pay nothing for the “content” they provide to their readers
  • Obama relies on Rhodes for “an unvarnished take,” in part, she says, because “Ben just has no poker face,” and so it’s easy to see when he is feeling uncomfortable. “The president will be like, ‘Ben, something on your mind?’ And then Ben will have this incredibly precise lay-down of why the previous half-hour has been an utter waste of time, because there’s a structural flaw to the entire direction of the conversation.”
  • The literary character that Rhodes most closely resembles, Power volunteers, is Holden Caulfield. “He hates the idea of being phony, and he’s impetuous, and he has very strong views.”
  • He became aware of two things at once: the weight of the issues that the president was confronted with, and the intense global interest in even the most mundane presidential communications.
  • The job he was hired to do, namely to help the president of the United States communicate with the public, was changing in equally significant ways, thanks to the impact of digital technologie
  • As she explained how the process worked, I was struck by how naïve the assumption of a “state of nature” must seem in an information environment that is mediated less and less by experienced editors and reporters with any real prior knowledge of the subjects they write about. “People construct their own sense of source and credibility now,” she said. “They elect who they’re going to believe.
  • “All these newspapers used to have foreign bureaus,” he said. “Now they don’t. They call us to explain to them what’s happening in Moscow and Cairo. Most of the outlets are reporting on world events from Washington. The average reporter we talk to is 27 years old, and their only reporting experience consists of being around political campaigns. That’s a sea change. They literally know nothing.”
  • ”This is something different from old-fashioned spin, which tended to be an art best practiced in person. In a world where experienced reporters competed for scoops and where carrying water for the White House was a cause for shame, no matter which party was in power, it was much harder to sustain a “narrative” over any serious period of time
  • Now the most effectively weaponized 140-character idea or quote will almost always carry the day, and it is very difficult for even good reporters to necessarily know where the spin is coming from or why
  • , I brought up the soft Orwellian vibe of an information space where old media structures and hierarchies have been erased by Silicon Valley billionaires who convinced the suckers that information was “free” and everyone with access to Google was now a reporter
  • Axelrod, a former newspaperman, sighed. “It’s not as easy as standing in front of a press conference and speaking to 70 million people like past presidents have been able to do,” he said. The bully pulpit by and large doesn’t exist anymore, he explained. “So more and more, over the last couple of years, there’s been an investment in alternative means of communication: using digital more effectively, going to nontraditional sources, understanding where on each issue your constituencies are going to be found,” he said. “I think they’ve approached these major foreign-policy challenges as campaign challenges, and they’ve run campaigns, and those campaigns have been very sophisticated.
  • Rhodes’s innovative campaign to sell the Iran deal is likely to be a model for how future administrations explain foreign policy to Congress and the publi
  • The way in which most Americans have heard the story of the Iran deal presented — that the Obama administration began seriously engaging with Iranian officials in 2013 in order to take advantage of a new political reality in Iran, which came about because of elections that brought moderates to power in that country — was largely manufactured for the purpose for selling the deal. Even where the particulars of that story are true, the implications that readers and viewers are encouraged to take away from those particulars are often misleading or false
  • Obama’s closest advisers always understood him to be eager to do a deal with Iran as far back as 2012, and even since the beginning of his presidency. “It’s the center of the arc,” Rhodes explained to me two days after the deal, officially known as the Joint Comprehensive Plan of Action, was implemented. He then checked off the ways in which the administration’s foreign-policy aims and priorities converged on Iran. “We don’t have to kind of be in cycles of conflict if we can find other ways to resolve these issues,” he said. “We can do things that challenge the conventional thinking that, you know, ‘AIPAC doesn’t like this,’ or ‘the Israeli government doesn’t like this,’ or ‘the gulf countries don’t like it.’ It’s the possibility of improved relations with adversaries. It’s nonproliferation. So all these threads that the president’s been spinning — and I mean that not in the press sense — for almost a decade, they kind of all converged around Iran.”
  • If anything, that anger has grown fiercer during Rhodes’s time in the White House. He referred to the American foreign-policy establishment as the Blob. According to Rhodes, the Blob includes Hillary Clinton, Robert Gates and other Iraq-war promoters from both parties who now whine incessantly about the collapse of the American security order in Europe and the Middle East.
  • By eliminating the fuss about Iran’s nuclear program, the administration hoped to eliminate a source of structural tension between the two countries, which would create the space for America to disentangle itself from its established system of alliances with countries like Saudi Arabia, Egypt, Israel and Turkey. With one bold move, the administration would effectively begin the process of a large-scale disengagement from the Middle East.
  • Rhodes “was kind of like the quarterback,” running the daily video conferences and coming up with lines of attack and parry. “He was extremely good about immediately getting to a phrase or a way of getting the message out that just made more sense,” Kreikemeier remembers. Framing the deal as a choice between peace and war was Rhodes’s go-to move — and proved to be a winning argument.
  • we developed a plan that was like: The Iran deal is literally going to be the tip of everything that we stand up online,” Somanader says. “And we’re going to map it onto what we know about the different audiences we’re dealing with: the public, pundits, experts, the right wing, Congress.” By applying 21st-century data and networking tools to the white-glove world of foreign affairs, the White House was able to track what United States senators and the people who worked for them, and influenced them, were seeing online — and make sure that no potential negative comment passed without a tweet.
  • The idea that there was a new reality in Iran was politically useful to the Obama administration. By obtaining broad public currency for the thought that there was a significant split in the regime, and that the administration was reaching out to moderate-minded Iranians who wanted peaceful relations with their neighbors and with America, Obama was able to evade what might have otherwise been a divisive but clarifying debate over the actual policy choices that his administration was making
  • During the course of the Iran talks, Malley told me, he always kept in close contact with Rhodes. “I would often just call him and say, ‘Give me a reality check,’ ” Malley explained. “He could say, ‘Here is where I think the president is, and here is where I think he will be.’ ” He continued, “Ben would try to anticipate: Does it make sense policywise? But then he would also ask himself: How do we sell it to Congress? How do we sell it to the public? What is it going to do to our narrative?”
  • I examine the president’s thoughts unfolding on the page, and the lawyerly, abstract nature of his writing process. “Moral imagination, spheres of identity, but also move beyond cheap lazy pronouncements,” one note reads. Here was the new American self — rational, moral, not self-indulgent. No longer one thing but multiple overlapping spheres or circles. Who is described here? As usual, the author is describing himself.
  • Rhodes’s war room did its work on Capitol Hill and with reporters. In the spring of last year, legions of arms-control experts began popping up at think tanks and on social media, and then became key sources for hundreds of often-clueless reporters. “We created an echo chamber,” he admitted, when I asked him to explain the onslaught of freshly minted experts cheerleading for the deal. “They were saying things that validated what we had given them to say.
  • When I suggested that all this dark metafictional play seemed a bit removed from rational debate over America’s future role in the world, Rhodes nodded. “In the absence of rational discourse, we are going to discourse the [expletive] out of this
  • “We had test drives to know who was going to be able to carry our message effectively, and how to use outside groups like Ploughshares, the Iran Project and whomever else. So we knew the tactics that worked.” He is proud of the way he sold the Iran deal. “We drove them crazy,” he said of the deal’s opponents.
  • Rhodes’s passion seems to derive not from any investment in the technical specifics of sanctions or centrifuge arrays, or any particular optimism about the future course of Iranian politics and society. Those are matters for the negotiators and area specialists. Rather, it derived from his own sense of the urgency of radically reorienting American policy in the Middle East in order to make the prospect of American involvement in the region’s future wars a lot less likely
  • When I asked whether the prospect of this same kind of far-reaching spin campaign being run by a different administration is something that scares him, he admitted that it does. “I mean, I’d prefer a sober, reasoned public debate, after which members of Congress reflect and take a vote,” he said, shrugging. “But that’s impossible.”
  • Obama’s particular revulsion against a certain kind of global power politics is a product, Rhodes suggests, of his having been raised in Southeast Asia. “Indonesia was a place where your interaction at that time with power was very intimate, right?” Rhodes asks. “Tens or hundreds of thousands of people had just been killed. Power was not some abstract thing,” he muses. “When we sit in Washington and debate foreign policy, it’s like a Risk game, or it’s all about us, or the human beings disappear from the decisions. But he lived in a place where he was surrounded by people who had either perpetrated those acts — and by the way, may not have felt great about that — or else knew someone who was a victim. I don’t think there’s ever been an American president who had an experience like that at a young age of what power is.
  • The parts of Obama’s foreign policy that disturb some of his friends on the left, like drone strikes, Rhodes says, are a result of Obama’s particular kind of globalism, which understands the hard and at times absolute necessity of killing. Yet, at the same time, they are also ways of avoiding more deadly uses of force — a kind of low-body-count spin move
  • He shows me the president’s copy of his Nobel Peace Prize acceptance speech, a revision of an original draft by Favreau and Rhodes whose defining tension was accepting a prize awarded before he had actually accomplished anything. In his longhand notes, Obama relocated the speech’s tension in the fact that he was accepting a peace prize a week after ordering 30,000 more troops to Afghanistan. King and Gandhi were the author’s heroes, yet he couldn’t act as they did, because he runs a state. The reason that the author had to exercise power was because not everyone in the world is rational.
  • In Panetta’s telling, his own experience at the Pentagon under Obama sometimes resembled being installed in the driver’s seat of a car and finding that the steering wheel and brakes had been disconnected from the engine. Obama and his aides used political elders like him, Robert Gates and Hillary Clinton as cover to end the Iraq war, and then decided to steer their own course, he suggests. While Panetta pointedly never mentions Rhodes’s name, it is clear whom he is talking about.
  • “Was it a point of connection between you and the president that you had each spent some substantial part of your childhoods living in another country?” I ask. Her face lights up.
  • “Absolutely,” she answers. The question is important to her. “The first conversation we had over dinner, when we first met, was about what it was like for both of us to live in countries that were predominantly Muslim countries at formative parts of our childhood and the perspective it gave us about the United States and how uniquely excellent it is,” she says. “We talked about what it was like to be children, and how we played with children who had totally different backgrounds than our own but you would find something in common.”
  • Barack Obama is not a standard-issue liberal Democrat. He openly shares Rhodes’s contempt for the groupthink of the American foreign-policy establishment and its hangers-on in the press. Yet one problem with the new script that Obama and Rhodes have written is that the Blob may have finally caught on
  • “He is a brilliant guy, but he has a real problem with what I call the assignment of bad faith,” one former senior official told me of the president. “He regards everyone on the other side at this point as being a bunch of bloodthirsty know-nothings from a different era who play by the old book
  • Another official I spoke to put the same point more succinctly: “Clearly the world has disappointed him.
  • When I asked whether he believed that the Oval Office debate over Syria policy in 2012 — resulting in a decision not to support the uprising against Assad in any meaningful way — had been an honest and open one, he said that he had believed that it was, but has since changed his mind. “Instead of adjusting his policies to the reality, and adjusting his perception of reality to the changing realities on the ground, the conclusions he draws are exactly the same, no matter what the costs have been to our strategic interests,”
  • “In an odd way, he reminds me of Bush.” The comparison is a startling one — and yet, questions of tone aside, it is uncomfortably easy to see the similarities between the two men, American presidents who projected their own ideas of the good onto an indifferent world.
  • He understands the president’s pivot toward Iran as the logical result of a deeply held premise about the negative effects of use of American military force on a scale much larger than drone strikes or Special Forces raids. “I think the whole legacy that he was working on was, ‘I’m the guy who’s going to bring these wars to an end, and the last goddamn thing I need is to start another war,’ ” he explains of Obama. “If you ratchet up sanctions, it could cause a war. If you start opposing their interest in Syria, well, that could start a war, too.”
  • “The Iran experience was the place where I saw firsthand how policy, politics and messaging all had to be brought together, and I think that Ben is really at the intersection of all three,” Malley says. “He reflects and he shapes at the same time.
  • “There were staff people who put themselves in a position where they kind of assumed where the president’s head was on a particular issue, and they thought their job was not to go through this open process of having people present all these different options, but to try to force the process to where they thought the president wanted to be,” he says. “They’d say, ‘Well, this is where we want you to come out.’ And I’d say ‘[expletive], that’s not the way it works. We’ll present a plan, and then the president can make a decision
  • Perhaps the president and his aides were continually unable to predict the consequences of their actions in Syria, and made mistake after mistake, while imagining that it was going to come out right the next time
  • “Another read, which isn’t necessarily opposed to that,” I continue, “is that their actual picture is entirely coherent. But if they put it in blunt, unnuanced terms — ”Panetta completes my sentence: “ — they’d get the [expletive] kicked out of them.” He looks at me curiously. “Let me ask you something,” he says. “Did you present this theory to Ben Rhodes?
  • “Oh, God,” Rhodes says. “The reason the president has bucked a lot of establishment thinking is because he does not agree with establishment thinking. Not because I or Denis McDonough are sitting here.” He pushes back in his chair. “The complete lack of governance in huge swaths of the Middle East, that is the project of the American establishment,” he declares. “That as much as Iraq is what angered me.
  • Ben Rhodes wanted to do right, and maybe, when the arc of history lands, it will turn out that he did. At least, he tried. Something scared him, and made him feel as if the grown-ups in Washington didn’t know what they were talking about, and it’s hard to argue that he was wrong.
  • What has interested me most about watching him and his cohort in the White House over the past seven years, I tell him, is the evolution of their ability to get comfortable with tragedy. I am thinking specifically about Syria, I add, where more than 450,000 people have been slaughtered.
  • “Yeah, I admit very much to that reality,” he says. “There’s a numbing element to Syria in particular. But I will tell you this,” he continues. “I profoundly do not believe that the United States could make things better in Syria by being there. And we have an evidentiary record of what happens when we’re there — nearly a decade in Iraq.
  • Iraq is his one-word answer to any and all criticism.
  • He mutters something about John Kerry, and then goes off the record, to suggest, in effect, that the world of the Sunni Arabs that the American establishment built has collapsed. The buck stops with the establishment, not with Obama, who was left to clean up their mess.
  • Rhodes walks me out into the sunlight of the West Wing parking lot, where we are treated to the sight of the aged Henry Kissinger, who has come to pay a visit. I ask Rhodes if he has ever met the famous diplomat before, and he tells me about the time they were seated together at a state dinner for the president of China. It was an interesting encounter to imagine, between Kissinger, who made peace with Mao’s China while bombing Laos to bits, and Rhodes, who helped effect a similar diplomatic volte-face with Iran but kept the United States out of a civil war in Syria, which has caused more than four million people to become refugees. I ask Rhodes how it felt being seated next to the embodiment of American realpolitik. “It was surreal,” he says, looking off into the middle distance. “I told him I was going to Laos,” he continues. “He got a weird look in his eye.
  • He is not Henry Kissinger, or so his logic runs, even as the underlying realist suspicion — or contempt — for the idea of America as a moral actor is eerily similar. He is torn. As the president himself once asked, how are we supposed to weigh the tens of thousands who have died in Syria against the tens of thousands who have died in Congo? What power means is that the choice is yours, no matter who is telling the story.
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5 Big Banks Expected to Plead Guilty to Felony Charges, but Punishments May Be Tempered... - 0 views

  • For most people, pleading guilty to a felony means they will very likely land in prison, lose their job and forfeit their right to vote.
  • But when five of the world’s biggest banks plead guilty to an array of antitrust and fraud charges as soon as next week, life will go on, probably without much of a hiccup.
  • Most if not all of the pleas are expected to come from the banks’ holding companies, the people said — a first for Wall Street giants that until now have had only subsidiaries or their biggest banking units plead guilty.
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  • The Justice Department is also preparing to resolve accusations of foreign currency misconduct at UBS. As part of that deal, prosecutors are taking the rare step of tearing up a 2012 nonprosecution agreement with the bank over the manipulation of benchmark interest rates, the people said, citing the bank’s foreign currency misconduct as a violation of the earlier agreement.
  • The guilty pleas, scarlet letters affixed to banks of this size and significance, represent another prosecutorial milestone in a broader effort to crack down on financial misdeeds. Yet as much as prosecutors want to punish banks for misdeeds, they are also mindful that too harsh a penalty could imperil banks that are at the heart of the global economy, a balancing act that could produce pleas that are more symbolic than sweeping.
  • While the S.E.C.’s five commissioners have not yet voted on the requests for waivers, which would allow the banks to conduct business as usual despite being felons, the people briefed on the matter expected a majority of commissioners to grant them.
  • In reality, those accommodations render the plea deals, at least in part, an exercise in stagecraft. And while banks might prefer a deferred-prosecution agreement that suspends charges in exchange for fines and other concessions — or a nonprosecution deal like the one that UBS is on the verge of losing — the reputational blow of being a felon does not spell disaster.
  • The action against UBS underscores the threats that Justice Department officials issued in recent months about voiding past deals in the event of new misdeeds, a central tactic in a plan to address the cycle of corporate recidivism. Leslie Caldwell, the head of the Justice Department’s criminal division, recently remarked that she “will not hesitate to tear up a D.P.A. or N.P.A. and file criminal charges where such action is appropriate.”
  • The Justice Department negotiations coincide with the banks’ separate efforts to persuade the S.E.C. to issue waivers from automatic bans that occur when a company pleads guilty. If the waivers are not granted, a decision that the Justice Department does not control, the banks could face significant consequences.
  • For example, some banks may be seeking waivers to a ban on overseeing mutual funds, one of the people said. They are also requesting waivers to ensure they do not lose their special status as “well-known seasoned issuers,” which allows them to fast-track securities offerings. For some of the banks, there is also a concern that they will lose their “safe harbor” status for making forward-looking statements in securities documents.
  • it seemed probable that a majority of the S.E.C.’s commissioners would approve most of the waivers, which can be granted for a cause like the public good. Still, the agency’s two Democratic commissioners — Kara M. Stein and Luis A. Aguilar, who have denounced the S.E.C.’s use of waivers — might be more likely to balk.
  • Senator Elizabeth Warren, Democrat of Massachusetts, and other liberal politicians have criticized prosecutors for treating Wall Street with kid gloves. Banks and their lawyers, however, complain about huge penalties and guilty pleas.
  • lingering in the background is the case of Arthur Andersen, an accounting giant that imploded after being convicted in 2002 of criminal charges related to its work for Enron. After the firm’s collapse, and the later reversal of its conviction, prosecutors began to shift from indictments and guilty pleas to deferred-prosecution agreements. And in 2008, the Justice Department updated guidelines for prosecuting corporations, which have long included a requirement that prosecutors weigh collateral consequences like harm to shareholders and innocent employees.
  • “The collateral consequences consideration is designed to address the risk that a particular criminal charge might inflict disproportionate harm to shareholders, pension holders and employees who are not even alleged to be culpable or to have profited potentially from wrongdoing,” said Mark Filip, the Justice Department official who wrote the 2008 memo. “Arthur Andersen was ultimately never convicted of anything, but the mere act of indicting it destroyed one of the cornerstones of the Midwest’s economy.”
  • After years of deferred-prosecution agreements, the pendulum swung back in favor of guilty pleas in 2012
  • In pursuing cases last year against Credit Suisse and BNP Paribas, prosecutors confronted the popular belief that banks had grown so important to the economy that they could not be charged
  • Yet after prosecutors announced the deals, the banks’ chief executives promptly assured investors that the effect would be minimal.“Apart from the impact of the fine, BNP Paribas will once again post solid results this quarter,” BNP’s chief, Jean-Laurent Bonnafé, said.Brady Dougan, Credit Suisse’s chief at the time, said the deal would not cause “any material impact on our operational or business capabilities.”
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Building the First Slavery Museum in America - NYTimes.com - 0 views

  • As a descendant of Irish laborers, he has no direct ties to slaveholders; still, in a departure from the views held by many Southern whites, Cummings considered the issue a personal one. “If ‘guilt’ is the best word to use, then yes, I feel guilt,” he said. “I mean, you start understanding that the wealth of this part of the world — wealth that has benefited me — was created by some half a million black people who just passed us by. How is it that we don’t acknowledge this?”
  • the German Coast Uprising, an event rarely mentioned in American history books. In January 1811, at least 125 slaves walked off their plantations and, dressed in makeshift military garb, began marching in revolt along River Road toward New Orleans. (The area was then called the German Coast for the high number of German immigrants, like the Haydels.) The slaves were suppressed by militias after two days, with about 95 killed, some during fighting and some after the show trials that followed. As a warning to other slaves, dozens were decapitated, their heads placed on spikes along River Road and in what is now Jackson Square in the French Quarter.
  • just in case you’re worried about people getting distracted by the pretty house over there, the last thing you’ll see before leaving here will be 60 beheaded slaves.”
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  • “It is disturbing,” Cummings said as he pulled out past Whitney’s gate. “But you know what else? It happened. It happened right here on this road.”
  • “If the Germans built a museum dedicated to American slavery before one about their own Holocaust, you’d think they were trying to hide something. As Americans, we haven’t yet figured out how to come to terms with slavery. To some, it’s ancient history. To others, it’s history that isn’t quite history.”
  • Next year, the National Museum of African American History and Culture is scheduled to be dedicated in Washington as part of the Smithsonian Institution, a project supported by $250 million in federal funding; exhibits on slavery will stand alongside those containing a trumpet played by Louis Armstrong and boxing gloves worn by Muhammad Ali.
  • “It has to be said that the end note in most of these museums is that civil rights triumphs and America is wonderful,” says Paul Finkelman, a historian who focuses on slavery and the law. “We are a nation that has always readily embraced the good of the past and discarded the bad. This does not always lead to the most productive of dialogues on matters that deserve and require them.”
  • What makes slavery so difficult to think about, from the vantage point of history, is that it was both at odds with America’s founding values — freedom, liberty, democracy — and critical to how they flourished.
  • created equal” was drafted by men who were afforded the time to debate its language because the land that enriched many of them was tended to by slaves. The White House and the Capitol were built, in part, by slaves. The economy of early America, responsible for the nation’s swift rise and sustained power, would not have been possible without slavery.
  • “Slavery gets understood as a kind of prehistory to freedom rather than what it really is: the foundation for a country where white supremacy was predicated upon African-American exploitation,” says Walter Johnson, a Harvard professor. “This is still, in many respects, the America of 2015.”
  • “If one word comes to mind to summarize what is in John’s head in doing this,” Seck said, “that word would be ‘reparations.’ Real reparations. He feels there is something to be done in this country to make changes.”
  • People have tried to do a museum like this for years, and I’m still stunned that this guy made it happen,” he said afterward. “There I was, coming down to talk about how in trying to tell the story, it’s often one step forward and two steps back, and boom, here’s the Whitney.” Holloway was particularly taken by the museum’s subversive approach. “Having been on a number of tours where the entire focus is on the Big House, the way they’ve turned the script inside out is a brilliant slipping of the skirt,” he said. “The mad genius of the whole thing is really resonant. Is it an art gallery? A plantation tour? A museum? It’s almost this astonishing piece of performance art, and as great art does, it makes you stop and wonder.”
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Reported bitcoin 'founder' Craig Wright's home raided by Australian police | Technology... - 0 views

  • Police have raided the home of an Australian tech entrepreneur identified by two US publications as one of the early developers of the digital currency bitcoin.
  • On Wednesday afternoon, police gained entry to a home belonging to Craig Wright, who had hours earlier been identified in investigations by Gizmodo and Wired, based on leaked transcripts of legal interviews and files. Both publications have indicated that they believe Wright to have been involved in the creation of the cryptocurrency.
  • Other people who say they knew Wright have expressed strong doubts about his alleged role, with some saying privately they believe the publications have been the victims of an elaborate hoax.
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  • More than 10 police personnel arrived at the house in the Sydney suburb of Gordon at about 1.30pm. Two police staff wearing white gloves could be seen from the street searching the cupboards and surfaces of the garage. At least three more were seen from the front door.
  • The Australian Federal police said in a statement that the raids were not related to the bitcoin claims. “The AFP can confirm it has conducted search warrants to assist the Australian Taxation Office at a residence in Gordon and a business premises in Ryde, Sydney. This matter is unrelated to recent media reporting regarding the digital currency bitcoin.”
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Weekend attacks point to feisty upcoming GOP debate - CNNPolitics.com - 0 views

  • Donald Trump let it be known that he's ready to take off the gloves and hammer Ben Carson. Florida Sen. Marco Rubio was increasingly willing to hit fellow Republicans.
  • According to Trump, Carson is "very weak on immigration," "cannot do with trade like I do" on the Trans-Pacific Partnership
  • Trump like to call himself a "counter-puncher," but he's attacked Carson even while the retired neurosurgeon has largely stayed away from initiating clashes of his own.
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  • Trump and Carson are also exchanging shots over religion after Trump told a crowd in Iowa, of Carson's faith
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Let's just say it: The Republicans are the problem. - The Washington Post - 4 views

  • We have been studying Washington politics and Congress for more than 40 years, and never have we seen them this dysfunctional. In our past writings, we have criticized both parties when we believed it was warranted. Today, however, we have no choice but to acknowledge that the core of the problem lies with the Republican Party.
  • The GOP has become an insurgent outlier in American politics. It is ideologically extreme; scornful of compromise; unmoved by conventional understanding of facts, evidence and science; and dismissive of the legitimacy of its political opposition.
  • When one party moves this far from the mainstream, it makes it nearly impossible for the political system to deal constructively with the country’s challenges.
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  • It is clear that the center of gravity in the Republican Party has shifted sharply to the right. Its once-legendary moderate and center-right legislators in the House and the Senate — think Bob Michel, Mickey Edwards, John Danforth, Chuck Hagel — are virtually extinct.
  • While the Democrats may have moved from their 40-yard line to their 25, the Republicans have gone from their 40 to somewhere behind their goal post.
  • What happened?
  • the real move to the bedrock right starts with two names: Newt Gingrich and Grover Norquist.
  • the forces Gingrich unleashed destroyed whatever comity existed across party lines, activated an extreme and virulently anti-Washington base — most recently represented by tea party activists — and helped drive moderate Republicans out of Congress.
  • The Norquist tax pledge has led to other pledges, on issues such as climate change, that create additional litmus tests that box in moderates and make cross-party coalitions nearly impossible.
  • Today, thanks to the GOP, compromise has gone out the window in Washington. In the first two years of the Obama administration, nearly every presidential initiative met with vehement, rancorous and unanimous Republican opposition in the House and the Senate, followed by efforts to delegitimize the results and repeal the policies. The filibuster, once relegated to a handful of major national issues in a given Congress, became a routine weapon of obstruction, applied even to widely supported bills or presidential nominations. And Republicans in the Senate have abused the confirmation process to block any and every nominee to posts such as the head of the Consumer Financial Protection Bureau, solely to keep laws that were legitimately enacted from being implemented.
  • In the third and now fourth years of the Obama presidency, divided government has produced something closer to complete gridlock than we have ever seen in our time in Washington,
  • Democrats are hardly blameless, and they have their own extreme wing and their own predilection for hardball politics. But these tendencies do not routinely veer outside the normal bounds of robust politics. If anything, under the presidencies of Clinton and Obama, the Democrats have become more of a status-quo party. They are centrist protectors of government, reluctantly willing to revamp programs and trim retirement and health benefits to maintain its central commitments in the face of fiscal pressures.
  • No doubt, Democrats were not exactly warm and fuzzy toward George W. Bush during his presidency. But recall that they worked hand in glove with the Republican president on the No Child Left Behind Act, provided crucial votes in the Senate for his tax cuts, joined with Republicans for all the steps taken after the Sept. 11, 2001, attacks and supplied the key votes for the Bush administration’s financial bailout at the height of the economic crisis in 2008. The difference is striking.
  • Mike Lofgren, a veteran Republican congressional staffer, wrote an anguished diatribe last year about why he was ending his career on the Hill after nearly three decades. “The Republican Party is becoming less and less like a traditional political party in a representative democracy and becoming more like an apocalyptic cult, or one of the intensely ideological authoritarian parties of 20th century Europe,” he wrote on the Truthout Web site.
  • political scientists Keith Poole and Howard Rosenthal, who have long tracked historical trends in political polarization, said their studies of congressional votes found that Republicans are now more conservative than they have been in more than a century. Their data show a dramatic uptick in polarization, mostly caused by the sharp rightward move of the GOP.
  • We understand the values of mainstream journalists, including the effort to report both sides of a story. But a balanced treatment of an unbalanced phenomenon distorts reality. If the political dynamics of Washington are unlikely to change anytime soon, at least we should change the way that reality is portrayed to the public.
  • Our advice to the press: Don’t seek professional safety through the even-handed, unfiltered presentation of opposing views. Which politician is telling the truth? Who is taking hostages, at what risks and to what ends?Also, stop lending legitimacy to Senate filibusters by treating a 60-vote hurdle as routine. The framers certainly didn’t intend it to be. Report individual senators’ abusive use of holds and identify every time the minority party uses a filibuster to kill a bill or nomination with majority support.
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Hillary Clinton's Campaign Outraged by Bernie Sanders Ad on Wall Street - First Draft. ... - 0 views

  • “If the Clinton campaign is too thin-skinned to handle velvet-gloved contrasts from Bernie Sanders, you’ve got to wonder how they’re going to get through a general election,”
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'We're walking down a dark path': Biden hammers Trump in scathing speech | US news | Th... - 0 views

  • Joe Biden, the former US vice-president, has taken off the gloves with a scathing denunciation of Donald Trump and the existential threat he poses to the postwar international order.
  • he said: “The appeal to populism and nationalism is a siren song, a way for charlatans to aggrandise their power, raise themselves up, break down those mechanisms that were designed, whether in our constitution or internationally, to limit the abuse of power, and destabilise the world.
  • Biden pointed and chided: “No, you think I’m kidding. It’s irresponsible. It’s this brand of zero-sum thinking that I find the most disturbing and dangerous.”
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The Making of the Fox News White House | The New Yorker - 0 views

  • Fox—which, as the most watched cable news network, generates about $2.7 billion a year for its parent company, 21st Century Fox—acts as a force multiplier for Trump, solidifying his hold over the Republican Party and intensifying his support. “Fox is not just taking the temperature of the base—it’s raising the temperature,” she says. “It’s a radicalization model.”
  • The White House and Fox interact so seamlessly that it can be hard to determine, during a particular news cycle, which one is following the other’s lead. All day long, Trump retweets claims made on the network; his press secretary, Sarah Sanders, has largely stopped holding press conferences, but she has made some thirty appearances on such shows as “Fox & Friends” and “Hannity.” Trump, Hemmer says, has “almost become a programmer.”
  • Bill Kristol, who was a paid contributor to Fox News until 2012 and is a prominent Never Trumper, said of the network, “It’s changed a lot. Before, it was conservative, but it wasn’t crazy. Now it’s just propaganda.”
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  • Joe Peyronnin, a professor of journalism at N.Y.U., was an early president of Fox News, in the mid-nineties. “I’ve never seen anything like it before,” he says of Fox. “It’s as if the President had his own press organization. It’s not healthy.”
  • Kristol contends that Shine’s White House appointment is a scandal. “It’s been wildly under-covered,” he said. “It’s astounding that Shine—the guy who covered up Ailes’s horrible behavior—is the deputy chief of staff!”
  • Jennifer Rubin, another conservative Never Trumper, used to appear on the network, but wouldn’t do so now. “Fox was begun as a good-faith effort to counter bias, but it’s morphed into something that is not even news,” she says. “It’s simply a mouthpiece for the President, repeating what the President says, no matter how false or contradictory.
  • Sean Hannity has told colleagues that he speaks to the President virtually every night, after his show ends, at 10 P.M. According to the Washington Post, White House advisers have taken to calling Hannity the Shadow Chief of Staff. A Republican political expert who has a paid contract with Fox News told me that Hannity has essentially become a “West Wing adviser,” attributing this development, in part, to the “utter breakdown of any normal decision-making in the White House.” The expert added, “The place has gone off the rails. There is no ordinary policy-development system.” As a result, he said, Fox’s on-air personalities “are filling the vacuum.”
  • Trump has told confidants that he has ranked the loyalty of many reporters, on a scale of 1 to 10. Bret Baier, Fox News’ chief political anchor, is a 6; Hannity a solid 10. Steve Doocy, the co-host of “Fox & Friends,” is so adoring that Trump gives him a 12.
  • Kushner now has an almost filial status with Murdoch, who turns eighty-eight this month, and numerous sources told me that they communicate frequently. “Like, every day,” one said.
  • Ailes told Murdoch, “Trump gets great ratings, but if you’re not careful he’s going to end up totally controlling Fox News.”
  • In private, Murdoch regarded Trump with disdain, seeing him as a real-estate huckster and a shady casino operator. But, for all their differences, the two men had key traits in common. They both inherited and expanded family enterprises—an Australian newspaper; an outer-borough New York City real-estate firm—but felt looked down upon by people who were richer and closer to the centers of power.
  • both men have tapped into anti-élitist resentment to connect with the public and to increase their fortunes. Trump and Murdoch also share a transactional approach to politics, devoid of almost any ideology besides self-interest.
  • In 1994, Murdoch laid out an audacious plan to Reed Hundt, the chairman of the Federal Communications Commission under President Bill Clinton
  • Murdoch led him outside to take in the glittering view of the Los Angeles Basin, and confided that he planned to launch a radical new television network. Unlike the three established networks, which vied for the same centrist viewers, his creation would follow the unapologetically lowbrow model of the tabloids that he published in Australia and England, and appeal to a narrow audience that would be entirely his. His core viewers, he said, would be football fans; with this aim in mind, he had just bought the rights to broadcast N.F.L. games. Hundt told me, “What he was really saying was that he was going after a working-class audience. He was going to carve out a base—what would become the Trump base.
  • he had entered our country and was saying, ‘I’m going to break up the three-party oligopoly that has governed the most important medium of communication for politics and policy in this country since the Second World War.’ It was like a scene from ‘Faust.’ What came to mind was Mephistopheles.”
  • “Fox’s great insight wasn’t necessarily that there was a great desire for a conservative point of view.” More erudite conservatives, he says, such as William F. Buckley, Jr., and Bill Kristol, couldn’t have succeeded as Fox has. Levin observes, “The genius was seeing that there’s an attraction to fear-based, anger-based politics that has to do with class and race.”
  • In 1996, Murdoch hired Roger Ailes to create a conservative TV news outlet. Ailes, who died in 2017, was a master of attack politics and wedge issues, having been a media consultant on several of America’s dirtiest and most divisive campaigns, including those of Richard Nixon. Ailes invented programming, Levin argues, “that confirmed all your worst instincts—Fox News’ fundamental business model is driving fear.
  • As Hundt sees it, “Murdoch didn’t invent Trump, but he invented the audience. Murdoch was going to make a Trump exist. Then Trump comes along, sees all these people, and says, ‘I’ll be the ringmaster in your circus!’ ”
  • Until then, the network had largely mocked birtherism as a conspiracy theory. O’Reilly called its promoters “unhinged,” and Glenn Beck, who at the time also hosted a Fox show, called them “idiots.” But Trump gave birtherism national exposure, and, in a sign of things to come, Hannity fanned the flames. Hannity began saying that, although he thought that Obama had been born in the United States, the circumstances surrounding his birth certificate were “odd.”
  • In certain instances, however, Fox executives enforced journalistic limits.
  • Such niceties no longer apply. In November, Hannity joined Trump onstage at a climactic rally for the midterm elections. Afterward, Fox issued a limp statement saying that it didn’t “condone any talent participating in campaign events” and that the “unfortunate distraction” had “been addressed.”
  • For all of Ailes’s faults, Van Susteren argues, he exerted a modicum of restraint. She believes that he would have insisted on at least some distance from President Trump, if only to preserve the appearance of journalistic respectability embodied in the motto Ailes devised for Fox: “Fair and Balanced.
  • Fox News was hardly fair and balanced under his leadership. Gabriel Sherman, in his biography, “The Loudest Voice in the Room,” reports that Ailes was so obsessed with bringing down Obama in 2012 that he declared to colleagues, “I want to elect the next President.”
  • Don’t kid yourself about his support for immigration,” she said of Murdoch. “Rupert is first about the bottom line. They’re all going out to play to their crowd, whether it’s Fox or MSNBC.” (After leaving Fox, Van Susteren was for a short time a host on MSNBC.) Fox’s mile-by-mile coverage of the so-called “migrant caravan” was an enormous hit: ratings in October, 2018, exceeded those of October, 2016—the height of the Presidential campaign.
  • Ailes and Trump were friendly. “They spoke all the time,” a former Fox executive says. They had lunch shortly before Trump announced his candidacy, and Ailes gave Trump political tips during the primaries. Ken LaCorte contends that Ailes took note of “Trump’s crazy behavior”; but Trump’s growing political strength was also obvious. According to the former Fox executive, Trump made Ailes “nervous”: “He thought Trump was a wild card. Someone Ailes could not bully or intimidate.”
  • in 2016 that the network’s executives “made a business decision” to give on-air stars “slack” to choose their candidates. Hannity was an early Trump supporter; O’Reilly was neutral; Megyn Kelly remained skeptical
  • Kelly kept pressing Trump: “You once told a contestant on ‘Celebrity Apprentice’ it would be a pretty picture to see her on her knees. Does that sound to you like the temperament of a man we should elect President?” But he’d already won over Republican viewers. (Fox received a flood of e-mails, almost all of them anti-Kelly.) The showdown helped shape Trump’s image as shamelessly unsinkable.
  • Fox, however, may have given Trump a little help. A pair of Fox insiders and a source close to Trump believe that Ailes informed the Trump campaign about Kelly’s question. Two of those sources say that they know of the tipoff from a purported eyewitness. In addition, a former Trump campaign aide says that a Fox contact gave him advance notice of a different debate question, which asked the candidates whether they would support the Republican nominee, regardless of who won. The former aide says that the heads-up was passed on to Trump, who was the only candidate who said that he wouldn’t automatically support the Party’s nominee—a position that burnished his image as an outsider.
  • Ailes, meanwhile, joined Trump’s debate team, further erasing the line between Fox and conservative politicians. Ailes also began developing a plan to go into business with Trump. The Sunday before the election, Ailes called Steve Bannon, Trump’s campaign chairman, and said that he’d been talking with Trump about launching Trump TV, a nationalist competitor to Fox. Ailes was so excited that he was willing to forfeit his severance payment from Fox, which was attached to a non-compete agreement. He asked Bannon to join the venture and to start planning it as soon as Trump lost the election.
  • Any hopes that Fox would clean house after Ailes’s departure vanished on August 12, 2016, when Fox named two Ailes loyalists as co-presidents: Jack Abernethy, an executive who managed Fox’s local stations, and Bill Shine. The opinion side of Fox News, which Shine had run, had won out, as had his friend Sean Hannity.
  • For years, Ailes had been the focus of liberal complaints, and so when Fox pushed him out many people thought that the channel would change. They were right. The problem, Fox’s critics say, is that it’s become a platform for Trump’s authoritarianism. “I know Roger Ailes was reviled,” Charlie Black, the lobbyist, said. “But he did produce debates of both sides. Now Fox is just Trump, Trump, Trump.” Murdoch may find this development untroubling: in 1995, he told this magazine, “The truth is—and we Americans don’t like to admit it—that authoritarian societies can work.
  • News of Trump’s payoffs to silence Daniels, and Cohen’s criminal attempts to conceal them as legal fees, remained unknown to the public until the Wall Street Journal broke the story, a year after Trump became President.
  • Murdoch “was gone a lot,” adding, “He’s old. He likes the idea that he’s running it, but the lunatics took over the asylum.”
  • Falzone’s story didn’t run—it kept being passed off from one editor to the next. After getting one noncommittal answer after another from her editors, Falzone at last heard from LaCorte, who was then the head of FoxNews.com. Falzone told colleagues that LaCorte said to her, “Good reporting, kiddo. But Rupert wants Donald Trump to win. So just let it go.” LaCorte denies telling Falzone this, but one of Falzone’s colleagues confirms having heard her account at the time.
  • ” The celebrity opinion-show hosts who drive the ratings became unbridled and unopposed. Hannity, as the network’s highest-rated and highest-paid star, was especially empowered—and, with him, so was Trump.
  • Richie told me, “Fox News was culpable. I voted for Trump, and I like Fox, but they did their own ‘catch and kill’ on the story to protect him.” He said that he’d worked closely with Falzone on the article, and that “she did her homework—she had it.” He says he warned her that Fox would never run it, but “when they killed it she was devastated.” Richie believes that the story “would have swayed the election.
  • Shine became “an expert in collecting and enforcing soft power,” adding, “He was responsible for on-air contributors to programs, so ultimately you were auditioning for Bill Shine. He was the one who would give you the lucrative contract. He controlled the narrative that way.
  • some people at Fox called him Bill the Butler, because he was so subservient to Ailes. A former Fox co-host says, “He’s perfect for the White House job. He’s a yes-man.” Another Fox alumnus said, “His only talent was following orders, sucking up to power, and covering up for people.”
  • Ailes and a small group kept a close eye on internal talent. “We had a file on pretty much everyone,” the former Fox executive said, adding that Ailes talked about “putting hits” in the media on anyone who “got out of line.”
  • If a woman complained about being sexually harassed, he said, Shine or other supervisors intimidated her into silence, reduced her air time, or discontinued her contract. The former executive recalls, “Shine would talk to the woman with a velvet glove, saying, ‘Don’t worry about it’—and, if that didn’t work, he’d warn her it would ruin her career.”
  • Judd Burstein, an attorney whose client was interviewed by prosecutors, told me, “I don’t think someone can be a serial sexual abuser in a large organization without enablers like Shine.”
  • Two months after Shine left Fox, Hannity became a matchmaker, arranging a dinner with the President at the White House, attended by himself, Shine, and Scaramucci, at that time Trump’s communications director. Hannity proposed Shine as a top communications official, or even as a deputy chief of staff. A year later, Shine was both.
  • Murdoch appears to have been wise in securing a rapprochement. Telecommunications is a highly regulated industry, and under Trump the government has consistently furthered Murdoch’s business interests, to the detriment of his rivals. Hundt, the former F.C.C. chairman, told me that “there have been three moves that have taken place in the regulatory and antitrust world” involving telecommunications “that are extremely unusual, and the only way to explain them is that they’re pro-Fox, pro-Fox, and pro-Fox.”
  • Last June, after only six months of deliberation, the Trump Administration approved Fox’s bid to sell most of its entertainment assets to Disney, for seventy-one billion dollars. The Murdoch family will receive more than two billion dollars in the deal, and will become a major stockholder in the combined company
  • In July, the F.C.C. blocked Sinclair Broadcast Group, a conservative rival to Fox, from combining with the Tribune Media Company. The F.C.C. argued that the deal would violate limits on the number of TV stations one entity can own, upending Sinclair’s hope of becoming the next Fox.
  • The Justice Department, meanwhile, went to court in an effort to stop A. T. & T.’s acquisition of Time Warner, which owns CNN
  • “There may be innocent explanations.” But, he adds, “Trump famously said you’re going to get sick and tired of winning, and that may not be true for the rest of America, but it sure is true of Murdoch.” He says of Murdoch, “He’s an incredibly cunning political player. He leaves no fingerprints. He’s been in the game of influencing government behavior to his benefit longer than most of us have been alive.”
  • Ann Coulter, who has been feuding with Trump over his immigration policy, said that the President told her that “Murdoch calls me every day.” She recalled that, “back when Trump was still speaking to me,” she complained to him that Fox was no longer inviting her to appear. She said that Trump told her, “Do you want me to call Murdoch and tell him to put you on?” Coulter accepted Trump’s offer. He may have called Hannity, not Murdoch, she says, but in any case she was invited back on Fox “within twelve hours.”
  • “Fox’s most important role since the election has been to keep Trump supporters in line.” The network has provided a non-stop counternarrative in which the only collusion is between Hillary Clinton and Russia; Robert Mueller, the special counsel, is perpetrating a “coup” by the “deep state”; Trump and his associates aren’t corrupt, but America’s law-enforcement officials and courts are; illegal immigration isn’t at a fifteen-year low, it’s “an invasion”; and news organizations that offer different perspectives are “enemies of the American people.”
  • Benkler’s assessment is based on an analysis of millions of American news stories that he and two co-authors, Robert Faris and Hal Roberts, undertook for their 2018 book, “Network Propaganda: Manipulation, Disinformation and Radicalization in American Politics.” Benkler told me that he and his co-authors had expected to find “symmetric polarization” in the left-leaning and the right-leaning media outlets. Instead, they discovered that the two poles of America’s media ecosystem function very differently. “It’s not the right versus the left,” Benkler says. “It’s the right versus the rest.”
  • Most American news outlets try to adhere to facts. When something proves erroneous, they run corrections, or, as Benkler and his co-authors write, “they check each other.” Far-left Web sites post as many bogus stories as far-right ones do, but mainstream and liberal news organizations tend to ignore suspiciously extreme material.
  • Conservative media outlets, however, focus more intently on confirming their audience’s biases, and are much more susceptible to disinformation, propaganda, and outright falsehoods (as judged by neutral fact-checking organizations such as PolitiFact). Case studies conducted by the authors show that lies and distortions on the right spread easily from extremist Web sites to mass-media outlets such as Fox, and only occasionally get corrected
  • Sometimes such pushback has a salutary effect. Recently, Chris Wallace told Sarah Sanders that her claim that “nearly four thousand known or suspected terrorists come into our country illegally” every year was wildly inaccurate. Showing Fox’s clout, the White House has dropped the talking point.
  • Unlike Glenn Beck, Hannity has been allowed to spew baseless conspiracy theories with impunity. For more than a year, Hannity and other hosts spread the lie that the hacking of Democratic Party e-mails during the 2016 campaign was an inside job. Hannity claimed that the hacking had been committed not by Russian cyber-warfare agents, as the U.S. intelligence community concluded, but by a Democratic staffer named Seth Rich, who had been murdered by unknown assailants on a D.C. street. Benkler and his co-authors studied Fox’s coverage, and found that not only did the channel give the Seth Rich lie a national platform; it also used the conspiracy story as a distraction, deploying it as a competing narrative when developments in Mueller’s investigation showed Trump in a bad light. In 2017, after Rich’s parents demanded an apology and advertisers began shunning the network, Fox finally ran a retraction, and Hannity dropped the story.
  • By then, Fox hosts had begun pushing a different conspiracy: the “Uranium One” story, which Hannity called “the biggest scandal ever involving Russia.” On an October, 2017, broadcast, Hannity claimed that Hillary Clinton, when she was Secretary of State, had given “to Vladimir Putin and Russia twenty per cent of America’s uranium, which is the foundational material to make nuclear weapons.” Ostensibly, the deal was in exchange for giant payments to the Clinton Foundation. Hannity also claimed that “the corrupt, lying mainstream media” was withholding this “bombshell” from Americans, because it was “complicit” in a “huge coverup.”
  • other reporting had poked holes in it, revealing that multiple government agencies had approved the deal, and that the quantity of uranium was insignificant. Yet Fox kept flogging it as the real national-security scandal involving Russia.
  • Alisyn Camerota was a co-host on “Fox & Friends” for years before joining CNN, in 2014
  •  ‘Fox & Friends’ was a fun show, but it was not a news show,” she says. “It regularly broke the rules of journalism. It was basically Roger’s id on TV. He’d wake up in the morning with some bee in his bonnet, spout it off to Bill Shine, and Shine would tell us to put it on TV.” She says that the show’s producers would “cull far-right, crackpot Web sites” for content, and adds, “Never did I hear anyone worry about getting a second source. The single phrase I heard over and over was ‘This is going to outrage the audience!’ You inflame the viewers so that no one will turn away. Those were the standards.”
  • Fox co-host Kimberly Guilfoyle often prepared for “The Five” by relying on information provided to her by an avid fan: a viewer from Georgia named David Townsend, who had no affiliation either with Fox News or with journalism.
  • Aki Peritz, a former C.I.A. analyst who is an adjunct professor at American University, has written that Fox News has become an inviting target for foreign spy agencies, because “it’s what the President sees.
  • a source who spoke to me about Guilfoyle and Townsend says, “It’s even worse than a conspiracy of the dark Web, or something trying to manipulate Fox. It was just a guy in his underwear in Georgia who had influence over Fox News! And Fox News influences the President!”
  • Judging from the timing of Trump’s tweets, Gertz believes that the President records “Fox & Friends” and views it from the beginning, often with a slight delay. As Trump watches, he frequently posts about points that he agrees with. Since August, 2018, Media Matters has tallied more than two hundred instances of Trump disseminating Fox News items to his fifty-eight million Twitter followers. “Trump serves as a carnival barker for Fox,” Levin says, giving invaluable promotional help to the channel.
  • Fox hosts sometimes reverse their opinions in order to toe the Trump line: Hannity, who in the Obama era called negotiations with North Korea “disturbing,” now calls such efforts a “huge foreign-policy win.” But Gertz has come to believe that Fox drives Trump more than Trump drives Fo
  • White House aides confirm that Trump has repeatedly walked away from compromises at the last moment because Fox hosts and guests opposed the deals.
  • According to a Senate staffer, one high-profile Republican senator claims that his preferred way of getting the President’s ear is by going on Fox. He calls a friendly host and offers to appear on the air; usually, before he’s taken his makeup off in the greenroom Trump is calling him
  • Fox hosts played a key part in driving Trump’s recent shutdown of the government and his declaration of a national emergency on the southern border. Hannity and Dobbs urged Trump nightly on their shows to make these moves; according to press reports, they also advised Trump personally to do so.
  • For the next thirty-five days, Hannity and the other Fox hosts kept cheering Trump on, even as polls showed that the American public was increasingly opposed to the shutdown. Oliver Darcy, of CNN, says that Democrats, rather than negotiating with Trump, “might as well call Sean Hannity and get him on the phone,” adding, “It seems we sort of elected Sean Hannity when we elected Trump.”
  • “The President’s world view is being specifically shaped by what he sees on Fox News, but Fox’s goals are ratings and money, which they get by maximizing rage. It’s not a message that is going to serve the rest of the country.
  • Trump and Fox are employing the same risky model: inflaming the base and intensifying its support, rather than building a broader coalition. Narrowcasting may generate billions of dollars for a cable channel, but as a governing strategy it inevitably alienates the majority. The problem for Trump, as one former Fox host puts it, is that “he can’t afford to lose Fox, because it’s all he’s got.”
  • Similarly, Fox has a financial incentive to make Trump look good. Cable ratings at both Fox and MSNBC dip when the news is bad for their audience’s side. Van Susteren likens the phenomenon to audiences turning away when their sports team is losing
  • A source close to Trump says that the President has been complaining that Shine hasn’t been aggressive enough. Late last year, Trump told the source, “Shine promised me my press coverage would get better, but it’s gotten worse.” The source says, “Trump thought he was getting Roger Ailes but instead he got Roger Ailes’s gofer.”
  • Shine has practically ended White House press briefings. Trump prefers to be his own spokesman. “He always thought he did it the best,” a former senior White House official says. “But the problem is that you lose deniability. It’s become a trapeze act with no net, 24/7. The shutdown messaging was a crisis. There was no exit strategy.”
  • “It was always clear that this wasn’t just another news organization,” Rosenberg told me. “But when Ailes departed, and Trump was elected, the network changed. They became more combative, and started treating me like an enemy, not an opponent.” With Shine joining Trump at the White House, he said, “it’s as if the on-air talent at Fox now have two masters—the White House and the audience.” In his view, the network has grown so allied with the White House in the demonization of Trump’s critics that “Fox is no longer conservative—it’s anti-democratic.”
  • For two years, the network has been priming its viewers to respond with extraordinary anger should the country’s law-enforcement authorities close in on the President. According to Media Matters, in the first year after Mueller was appointed Hannity alone aired four hundred and eighty-six segments attacking the federal criminal investigation into Russian interference in the 2016 election; thirty-eight per cent of those segments claimed that law-enforcement officials had broken the law.
  • Hannity has spoken of “a coup,” and a guest on Laura Ingraham’s program, the lawyer Joseph diGenova, declared, “It’s going to be total war. And, as I say to my friends, I do two things—I vote and I buy guns.”
  • “In a hypothetical world without Fox News, if President Trump were to be hit hard by the Mueller report, it would be the end of him. But, with Fox News covering his back with the Republican base, he has a fighting chance, because he has something no other President in American history has ever had at his disposal—a servile propaganda operation.”
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Donald Trump Is a Menace to Public Health - The Atlantic - 0 views

  • The autocratic political culture that has propped up the Trump administration has left the nation entirely unprepared for an economic and public-health calamity.
  • The president of the United States is a menace to public health
  • I don’t mean that I disagree with him on policy, although I do
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  • What I am referring to is the fact that, soon after the coronavirus outbreak emerged in China, the rest of the world began to regard it as a threat to public health, while Trump has seen it as a public-relations problem
  • Trump’s primary method of dealing with public-relations problems is to exert the full force of the authoritarian cult of personality that surrounds him to deny that a problem even exists.
  • Neither the tide of pestilence sweeping the nation nor the economic calamity that will follow was inevitable
  • Trump’s first public remarks on the coronavirus came during an interview with the CNBC reporter Joe Kernen on January 22
  • Kernen asked, “Are there worries about a pandemic at this point?” To which Trump replied, “No. Not at all. And—we’re—we have it totally under control
  • Except Trump was not preparing
  • He was consciously contradicting his administration’s own public-health officials at the time.
  • Nor were the president’s dismissals of the dangers posed by the coronavirus an attempt to buy time for the federal government to appropriately respond.
  • Medical workers are running out of face masks and gloves. The United States does not have enough ventilators for critically ill patients who need them. States lack sufficient testing capacity to measure the scale of the outbreak. Emergency rooms are overwhelmed. Hospitals are running out of beds. The president is tweeting praise of himself.
  • In the meantime, doctors, nurses, and EMTs are getting sick
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FEMA Says at Least 7 People at the Disaster Agency Have the Coronavirus - The New York ... - 0 views

  • The agency leading the nation’s coronavirus response said that seven of its employees had tested positive for the virus with another four cases pending
  • Union leaders last week had asked the agency, Federal Emergency Management Agency, how many employees had tested positive, and in which offices, so that workers who might have interacted with those people could decide whether to get tested as well
  • But those steps only go so far.
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  • “If we’re out there handing out masks and gloves, and we’ve got Covid, then they’re contaminated,” said Mr. Reaves, referring to the disease caused by the coronavirus.
  • The concern over the health and safety of FEMA employees comes as the agency is already stretched thin by three years of major natural disasters.
  • The virus, however, is forcing the agency to rethink that approach. It has urged its staff to work from home when possible, and distance themselves from their colleagues when it isn’t. FEMA has also restricted the number of disaster victims who are allowed inside its field offices at once, and has made it easier for states to shelter victims in hotels or other settings where they don’t have to be crammed together.
  • “FEMA has taken every precaution recommended by the C.D.C. to protect all employees,” Ms. Litzow added, referring to the Centers for Disease Control and Prevention.
  • Mr. Reaves said that at least two other people who worked in the office had since told him that they were self-isolating out of concern that they were exposed.
  • Some FEMA officials had grown concerned over how crowded its headquarters had become since President Trump tapped the disaster agency to lead his administration’s response to the coronavirus.
  • FEMA’s communications office did not say if any employees are self-isolating because they have symptoms.
  • The office also didn’t comment on its decision to decline the union’s request to find out which offices have had confirmed cases.
  • In its letter to the union, the agency suggested that providing that information could violate employees’ privacy. At some FEMA locations, the agency said
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Opinion | Tough Love From Andrew Cuomo - The New York Times - 0 views

  • “Trump is selfishly ruthless for his own personal gain while Cuomo is more benevolently ruthless.”
  • She continued: “It also helps that Cuomo knows intimately how to bend the different levers of government to his will. It’s where you see having been at HUD, having been an attorney general of New York, having been a governor for 10 years — all that pays off. Ruthlessness is good, if it’s for a good purpose. F.D.R. was ruthless.”
  • I ask Andrew Cuomo how this crisis will change the way people look at government and how it will affect the 2020 election.
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  • I wrote admiringly about Cuomo’s L.B.J.-style blend of the velvet glove and the brass knuckles when he did what Barack Obama did not deign to do in 2009 and clawed back millions from the rapacious financiers scarfing up bonuses while they were taking federal bailout money; when he pushed to legalize same-sex marriage in New York in 2011; and when he rammed through a gun control bill after the Sandy Hook children were slaughtered, surpassing Obama’s efforts again.“It took a terrible political toll on me, but it’s still the best gun law in the nation,” Cuomo says now.
  • He says that, in this era where personalities and celebrities rule politics, the pandemic “changes the lens on government and you’re going to now inquire about experience and capacity and your past performance, almost like the normal hiring process. We got to a place in government where credentials didn’t matter and performance didn’t matter.”
  • “We’ll have a different country — better or worse, I don’t know,” Cuomo says. “It will have a different personality. It will be more fearful. Less trusting. But maybe there will be a greater need for intimacy.”
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What it's like for health care workers on the front lines of the coronavirus pandemic -... - 0 views

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  • Across the country, health care professionals have mobilized to treat patients suffering from the novel coronavirus, and many are doing so without adequate supplies and equipment
  • Here's what they have to say.
  • A registered ICU nurse with University of Chicago Medicine told CNN she's scared about what the ICU could look like in another week, as the US Surgeon General said Chicago was one of several emerging coronavirus hot spots in the United States.
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  • Patients were streaming in nonstop, she said, coughing and sweating, with fevers and "fear in their eyes." The nurse wrote that she cried in the bathroom during her break, peeling off the PPE that left indentations in her face.
  • The nurse, who said she works in a Covid-19 triage area, said the previous night was "so far the worst I have seen."
  • 'I cried the entire ride home'
  • "What's very devastating for me is some people we know will not survive," he said, "and since they're not allowed to have visitors, I may be the last face they see and voice they hear ever as I put them to sleep (general anesthesia) prior to being on a ventilator.
  • Deburghgraeve shared a video with CNN of him donning his PPE, putting on gloves, a protective gown, a face mask and then another mask that looks like a space helmet.
  • Dr. Cory Deburghgraeve, an anesthesiologist at the University of Illinois in Chicago, said he's working 94 hours this week. He's the designated "airway anesthesiologist" giving coronavirus patients breathing tubes in a procedure called intubation.
  • A physician assistant working in an emergency room in Queens, New York, told CNN there was an "every man for themselves" mentality when it came to the PPE at the hospital.
  • "You have people out on the streets that have masks and meanwhile the hospitals are all running out of masks," said the physician assistant, who CNN is not naming because they feared repercussions for speaking to the media.
  • The physician assistant said they were told they would have to make their N95 mask last for five days. The PPE is being prioritized, the physician assistant said, for staff working with intubated patients, who are most at risk of infection.
  • "There's patients everywhere," the physician assistant said
  • An emergency room physician at a hospital in the New York borough of Queens said doctors and nurses must deal with cramped spaces.
  • "Stretchers are packed in metal-to-metal, stacked three deep head to toe, with no space ... to walk to patients," the physician said. "When patients deteriorate, you hope you see them from across the room and hope you can move enough stretchers out of the way to get that person to a critical care area."
  • "I don't have the support that I need, and even just the materials that I need physically to take care of my patients," Smith said. "And it's America and we're supposed to be a first-world country."
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How Will the Coronavirus End? - The Atlantic - 0 views

  • A global pandemic of this scale was inevitable. In recent years, hundreds of health experts have written books, white papers, and op-eds warning of the possibility. Bill Gates has been telling anyone who would listen, including the 18 million viewers of his TED Talk.
  • We realized that her child might be one of the first of a new cohort who are born into a society profoundly altered by COVID-19. We decided to call them Generation C.
  • “No matter what, a virus [like SARS-CoV-2] was going to test the resilience of even the most well-equipped health systems,”
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  • To contain such a pathogen, nations must develop a test and use it to identify infected people, isolate them, and trace those they’ve had contact with. That is what South Korea, Singapore, and Hong Kong did to tremendous effect. It is what the United States did not.
  • That a biomedical powerhouse like the U.S. should so thoroughly fail to create a very simple diagnostic test was, quite literally, unimaginable. “I’m not aware of any simulations that I or others have run where we [considered] a failure of testing,”
  • The testing fiasco was the original sin of America’s pandemic failure, the single flaw that undermined every other countermeasure. If the country could have accurately tracked the spread of the virus, hospitals could have executed their pandemic plans, girding themselves by allocating treatment rooms, ordering extra supplies, tagging in personnel, or assigning specific facilities to deal with COVID-19 cases.
  • None of that happened. Instead, a health-care system that already runs close to full capacity, and that was already challenged by a severe flu season, was suddenly faced with a virus that had been left to spread, untracked, through communities around the country.
  • With little room to surge during a crisis, America’s health-care system operates on the assumption that unaffected states can help beleaguered ones in an emergency.
  • That ethic works for localized disasters such as hurricanes or wildfires, but not for a pandemic that is now in all 50 states. Cooperation has given way to competition
  • Partly, that’s because the White House is a ghost town of scientific expertise. A pandemic-preparedness office that was part of the National Security Council was dissolved in 2018. On January 28, Luciana Borio, who was part of that team, urged the government to “act now to prevent an American epidemic,” and specifically to work with the private sector to develop fast, easy diagnostic tests. But with the office shuttered, those warnings were published in The Wall Street Journal, rather than spoken into the president’s ear.
  • Rudderless, blindsided, lethargic, and uncoordinated, America has mishandled the COVID-19 crisis to a substantially worse degree than what every health expert I’ve spoken with had feared. “Much worse,”
  • “Beyond any expectations we had,” said Lauren Sauer, who works on disaster preparedness at Johns Hopkins Medicine. “As an American, I’m horrified,” said Seth Berkley, who heads Gavi, the Vaccine Alliance. “The U.S. may end up with the worst outbreak in the industrialized world.”
  • it will be difficult—but not impossible—for the United States to catch up. To an extent, the near-term future is set because COVID-19 is a slow and long illness. People who were infected several days ago will only start showing symptoms now, even if they isolated themselves in the meantime. Some of those people will enter intensive-care units in early April
  • A “massive logistics and supply-chain operation [is] now needed across the country,” says Thomas Inglesby of Johns Hopkins Bloomberg School of Public Health. That can’t be managed by small and inexperienced teams scattered throughout the White House. The solution, he says, is to tag in the Defense Logistics Agency—a 26,000-person group that prepares the U.S. military for overseas operations and that has assisted in past public-health crises, including the 2014 Ebola outbreak.
  • The first and most important is to rapidly produce masks, gloves, and other personal protective equipment
  • it would also come at a terrible cost: SARS-CoV-2 is more transmissible and fatal than the flu, and it would likely leave behind many millions of corpses and a trail of devastated health systems.
  • This agency can also coordinate the second pressing need: a massive rollout of COVID-19 tests.
  • These measures will take time, during which the pandemic will either accelerate beyond the capacity of the health system or slow to containable levels. Its course—and the nation’s fate—now depends on the third need, which is social distancing.
  • There are now only two groups of Americans. Group A includes everyone involved in the medical response, whether that’s treating patients, running tests, or manufacturing supplies. Group B includes everyone else, and their job is to buy Group A more time. Group B must now “flatten the curve” by physically isolating themselves from other people to cut off chains of transmission.
  • Given the slow fuse of COVID-19, to forestall the future collapse of the health-care system, these seemingly drastic steps must be taken immediately, before they feel proportionate, and they must continue for several weeks.
  • Persuading a country to voluntarily stay at home is not easy, and without clear guidelines from the White House, mayors, governors, and business owners have been forced to take their own steps.
  • when the good of all hinges on the sacrifices of many, clear coordination matters—the fourth urgent need
  • Pundits and business leaders have used similar rhetoric, arguing that high-risk people, such as the elderly, could be protected while lower-risk people are allowed to go back to work. Such thinking is seductive, but flawed. It overestimates our ability to assess a person’s risk, and to somehow wall off the ‘high-risk’ people from the rest of society. It underestimates how badly the virus can hit ‘low-risk’ groups, and how thoroughly hospitals will be overwhelmed if even just younger demographics are falling sick.
  • A recent analysis from the University of Pennsylvania estimated that even if social-distancing measures can reduce infection rates by 95 percent, 960,000 Americans will still need intensive care.
  • There are only about 180,000 ventilators in the U.S. and, more pertinently, only enough respiratory therapists and critical-care staff to safely look after 100,000 ventilated patients. Abandoning social distancing would be foolish. Abandoning it now, when tests and protective equipment are still scarce, would be catastrophic.
  • If Trump stays the course, if Americans adhere to social distancing, if testing can be rolled out, and if enough masks can be produced, there is a chance that the country can still avert the worst predictions about COVID-19, and at least temporarily bring the pandemic under control. No one knows how long that will take, but it won’t be quick. “It could be anywhere from four to six weeks to up to three months,” Fauci said, “but I don’t have great confidence in that range.”
  • there are three possible endgames: one that’s very unlikely, one that’s very dangerous, and one that’s very long.
  • The first is that every nation manages to simultaneously bring the virus to heel, as with the original SARS in 2003. Given how widespread the coronavirus pandemic is, and how badly many countries are faring, the odds of worldwide synchronous control seem vanishingly small.
  • The second is that the virus does what past flu pandemics have done: It burns through the world and leaves behind enough immune survivors that it eventually struggles to find viable hosts. This “herd immunity” scenario would be quick, and thus tempting
  • The U.S. has fewer hospital beds per capita than Italy. A study released by a team at Imperial College London concluded that if the pandemic is left unchecked, those beds will all be full by late April. By the end of June, for every available critical-care bed, there will be roughly 15 COVID-19 patients in need of one.  By the end of the summer, the pandemic will have directly killed 2.2 million Americans,
  • The third scenario is that the world plays a protracted game of whack-a-mole with the virus, stamping out outbreaks here and there until a vaccine can be produced. This is the best option, but also the longest and most complicated.
  • there are no existing vaccines for coronaviruses—until now, these viruses seemed to cause diseases that were mild or rare—so researchers must start from scratch.
  • The first steps have been impressively quick. Last Monday, a possible vaccine created by Moderna and the National Institutes of Health went into early clinical testing. That marks a 63-day gap between scientists sequencing the virus’s genes for the first time and doctors injecting a vaccine candidate into a person’s arm. “It’s overwhelmingly the world record,” Fauci said.
  • The initial trial will simply tell researchers if the vaccine seems safe, and if it can actually mobilize the immune system. Researchers will then need to check that it actually prevents infection from SARS-CoV-2. They’ll need to do animal tests and large-scale trials to ensure that the vaccine doesn’t cause severe side effects. They’ll need to work out what dose is required, how many shots people need, if the vaccine works in elderly people, and if it requires other chemicals to boost its effectiveness.
  • No matter which strategy is faster, Berkley and others estimate that it will take 12 to 18 months to develop a proven vaccine, and then longer still to make it, ship it, and inject it into people’s arms.
  • as the status quo returns, so too will the virus. This doesn’t mean that society must be on continuous lockdown until 2022. But “we need to be prepared to do multiple periods of social distancing,” says Stephen Kissler of Harvard.
  • First: seasonality. Coronaviruses tend to be winter infections that wane or disappear in the summer. That may also be true for SARS-CoV-2, but seasonal variations might not sufficiently slow the virus when it has so many immunologically naive hosts to infect.
  • Second: duration of immunity. When people are infected by the milder human coronaviruses that cause cold-like symptoms, they remain immune for less than a year. By contrast, the few who were infected by the original SARS virus, which was far more severe, stayed immune for much longer.
  • scientists will need to develop accurate serological tests, which look for the antibodies that confer immunity. They’ll also need to confirm that such antibodies actually stop people from catching or spreading the virus. If so, immune citizens can return to work, care for the vulnerable, and anchor the economy during bouts of social distancing.
  • Aspects of America’s identity may need rethinking after COVID-19. Many of the country’s values have seemed to work against it during the pandemic. Its individualism, exceptionalism, and tendency to equate doing whatever you want with an act of resistance meant that when it came time to save lives and stay indoors, some people flocked to bars and clubs.
  • “We can keep schools and businesses open as much as possible, closing them quickly when suppression fails, then opening them back up again once the infected are identified and isolated. Instead of playing defense, we could play more offense.”
  • The vaccine may need to be updated as the virus changes, and people may need to get revaccinated on a regular basis, as they currently do for the flu. Models suggest that the virus might simmer around the world, triggering epidemics every few years or so. “But my hope and expectation is that the severity would decline, and there would be less societal upheaval,”
  • After infections begin ebbing, a secondary pandemic of mental-health problems will follow.
  • But “there is also the potential for a much better world after we get through this trauma,”
  • Testing kits can be widely distributed to catch the virus’s return as quickly as possible. There’s no reason that the U.S. should let SARS-CoV-2 catch it unawares again, and thus no reason that social-distancing measures need to be deployed as broadly and heavy-handedly as they now must be.
  • Pandemics can also catalyze social change. People, businesses, and institutions have been remarkably quick to adopt or call for practices that they might once have dragged their heels on, including working from home, conference-calling to accommodate people with disabilities, proper sick leave, and flexible child-care arrangements.
  • Perhaps the nation will learn that preparedness isn’t just about masks, vaccines, and tests, but also about fair labor policies and a stable and equal health-care system. Perhaps it will appreciate that health-care workers and public-health specialists compose America’s social immune system, and that this system has been suppressed.
  • Attitudes to health may also change for the better. The rise of HIV and AIDS “completely changed sexual behavior among young people who were coming into sexual maturity at the height of the epidemic,”
  • Years of isolationist rhetoric had consequences too.
  • “People believed the rhetoric that containment would work,” says Wendy Parmet, who studies law and public health at Northeastern University. “We keep them out, and we’ll be okay. When you have a body politic that buys into these ideas of isolationism and ethnonationalism, you’re especially vulnerable when a pandemic hits.”
  • Pandemics are democratizing experiences. People whose privilege and power would normally shield them from a crisis are facing quarantines, testing positive, and losing loved ones. Senators are falling sick. The consequences of defunding public-health agencies, losing expertise, and stretching hospitals are no longer manifesting as angry opinion pieces, but as faltering lungs.
  • After COVID-19, attention may shift to public health. Expect to see a spike in funding for virology and vaccinology, a surge in students applying to public-health programs, and more domestic production of medical supplies.
  • The lessons that America draws from this experience are hard to predict, especially at a time when online algorithms and partisan broadcasters only serve news that aligns with their audience’s preconceptions.
  • “The transitions after World War II or 9/11 were not about a bunch of new ideas,” he says. “The ideas are out there, but the debates will be more acute over the next few months because of the fluidity of the moment and willingness of the American public to accept big, massive changes.”
  • One could easily conceive of a world in which most of the nation believes that America defeated COVID-19. Despite his many lapses, Trump’s approval rating has surged. Imagine that he succeeds in diverting blame for the crisis to China, casting it as the villain and America as the resilient hero.
  • One could also envisage a future in which America learns a different lesson. A communal spirit, ironically born through social distancing, causes people to turn outward, to neighbors both foreign and domestic. The election of November 2020 becomes a repudiation of “America first” politics. The nation pivots, as it did after World War II, from isolationism to international cooperation
  • The U.S. leads a new global partnership focused on solving challenges like pandemics and climate change.
  • In 2030, SARS-CoV-3 emerges from nowhere, and is brought to heel within a month.
  • On the Global Health Security Index, a report card that grades every country on its pandemic preparedness, the United States has a score of 83.5—the world’s highest. Rich, strong, developed, America is supposed to be the readiest of nations. That illusion has been shattered. Despite months of advance warning as the virus spread in other countries, when America was finally tested by COVID-19, it failed.
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The Trailer: The resistance to stay-at-home orders rises from the right - The Washingto... - 0 views

  • Uncertainty and fear over the economic impact of stay-at-home orders is fueling a sort of culture war between conservatives, whose political strength now comes from rural America, right now less affected by the virus, and liberals, whose urban strongholds have been most affected by it.
  • uncertainty over the White House's plans, from an abandoned idea to waive restrictions by Easter to a confusing set of business advisory groups, has led to greater uncertainty about when it would be safe to work and shop again. That uncertainty has mobilized conservatives and Republicans in the states. Like the tea party protests of 2009, the “reopen” protests were heavily touted on conservative radio and Fox News, which helped fuel turnout, which then became part of the story.
  • Resistance to the stay-at-home orders has grown fastest in Michigan, for two reasons: Whitmer has issued especially strict limits on movement and commerce, and she is increasingly being discussed as a running mate for Joe Biden
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  • One week ago, the governor restricted in-person shopping at outdoor supply stores, the use of motorboats for recreation, and most recreational travel inside the state. The state had absorbed some of the highest infection numbers and the highest job-loss numbers; all of a sudden, it had the toughest regulations on how residents could behave.
  • In multiple segments this week, Fox News host Tucker Carlson suggested Whitmer's “authoritarian” orders were designed to help her in the veepstakes. During an online “Women for Trump” event, RNC Chair Ronna McDaniel, who previously ran the party in Michigan, claimed that Whitmer had “turned this crisis into a platform to run for vice president.” At Wednesday's protest, conservatives who spoke took as given that Whitmer was angling for a bigger job and that it would backfire.
  • Whitmer's approval rating actually had surged since the start of the pandemic, with two-thirds of Michiganders approving of how she was doing her job, though no poll had been released since she ordered the new restrictions. North Carolina's Roy Cooper and Ohio's Mike DeWine, a Democrat and a Republican, had also seen big boosts to their personal popularity, right before facing protests outside their offices this week
  • “We’re to the point where the state is restricting every move we make,” said Ashley Smith, a co-founder of ReOpenNC and a participant in this week's protest in Raleigh
  • “We need to consider how we’ve behaved in every other viral outbreak. These decisions have been based on models, not actual data.”
  • “I feel that most of America feels the way that we do right now,” said Garrett Soldano, the founder of the Michiganders Against Excessive Quarantine Facebook group, on a Wednesday live stream for its 350,000 members. “Keeping healthy people at home is tyranny.” (According to polling, the vast majority of Americans remain nervous about reopening businesses if there is a threat of spreading infection.)
  • “They want to keep us away from churches and synagogues. They want to make sure we don't go back to work,” Fox News personality Jeanine Pirro said on Wednesday. “What happened in Lansing today, God bless them: It's going to happen all over the country.
  • “It's really similar to the DNA of the tea party movement,” Brandon said. “No one I know is saying this is a sham, that the virus is fake. But I do hear small-business owners say, hey, I was forced to shut down, but my business doesn't even require me to get close to customers. And the whole idea that you can have ‘essential’ and ‘nonessential’ businesses is funny to me. Every business is essential, or else it wouldn’t exist.”
  • And while states have begun putting together plans to reopen businesses, some Republican elected officials have also started freelancing, asking whether places with few or no reports of the coronavirus could return to normal.
  • “It may be that when people go back to work that they wear a mask and gloves for some period of time, to limit the spread of disease,” Sen. Ted Cruz of Texas said yesterday.
  • The protests have been less measured. On his Wednesday live stream, Soldano talked to one quarantine skeptic who warned that the restrictions on Michigan's housing supply and gardening stores were in sync with Agenda21, a U.N. plan for sustainable development that for years has been seen on the right as a plot to restrict freedom
  • Soldano suggested that if restrictions lifted, protesters could enter “phase two” of their plan, holding rallies and campaigning to “strip not only the Michigan governor, but other governors, of the right to do this again.” There was even a push to recall Whitmer, which would require more than 1 million valid signatures collected over 60 days.
  • the multitude of Trump campaign flags, signs and merchandise led to Whitmer criticizing the rally, as a distraction from the issue it was designed to highlight: when to reopen Michigan.
  • “It wasn’t really about the stay-at-home order at all,” Whitmer said on MSNBC on Wednesday night. “It was essentially a political rally, a political statement that flies in the face of all of the science." 
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With Broad, Random Tests for Antibodies, Germany Seeks Path Out of Lockdown - The New Y... - 0 views

  • Mr. Germann and his girlfriend joined 3,000 households chosen at random in Munich for an ambitious study whose central aim is to understand how many people — even those with no symptoms — have already had the virus, a key variable to make decisions about public life in a pandemic.
  • The study is part of an aggressive approach to combat the virus in a comprehensive way that has made Germany a leader among Western nations figuring out how to control the contagion while returning to something resembling normal life.
  • Other nations, including the United States, are still struggling to test for infections. But Germany is doing that and more. It is aiming to sample the entire population for antibodies in coming months, hoping to gain valuable insight into how deeply the virus has penetrated the society at large, how deadly it really is, and whether immunity might be developing.
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  • The government hopes to use the findings to unravel a riddle that will allow Germany to move securely into the next phase of the pandemic: Which of the far-reaching social and economic restrictions that have slowed the virus are most effective and which can be safely lifted?
  • Other countries like Iceland and South Korea have tested broadly for infections, or combined testing with digital tracking to undercut the spread of the virus. But even the best laid plans can go awry; Singapore attempted to reopen only to have the virus re-emerge.
  • President Trump is in a hurry to restart the economy in an election year, but experts warn that much wider testing is needed to open societies safely.
  • Both Britain and the United States, where some of the first tests were flawed, virtually forfeited the notion of widespread testing early in their outbreaks and have since had to ration tests in places as they scramble to catch up
  • Germany, which produces most of its own high-quality test kits, is already testing on a greater scale than most — 120,000 a day and growing in a nation of 83 million.
  • Merkel, a trained scientist, said this week that the aim was nothing less than tracing “every infection chain.”
  • Every 10 people infected with the virus now pass it to seven others — a sharp decline in the infection rate for a virus that has spread exponentially.
  • The generosity and solidarity on such striking display inside of Europe’s largest and richest economy have been missing in Germany’s response to poorer European nations in the south, which were hit hardest by the virus.
  • the chancellor’s mixture of calm reassurance and clear-eyed realism — as well as her ability to understand the science and explain it to citizens — has been widely praised and encouraged Germans to follow social distancing rules. Her approval ratings are now higher than 80 percent.
  • That broad confidence in government has given Germany a tremendous advantage. It is much of the reason a knock on the door by a police officer and strangers dressed like aliens asking for blood can engender good will rather than alarm
  • “We are leading the thinking of what to do next.”
  • Its most ambitious project, aiming to test a nationwide random sample of 15,000 people across the country, is scheduled to begin next month.
  • “In the free world, Germany is the first country looking into the future,”
  • Nationally, the Robert Koch Institute, the government’s central scientific institution in the field of biomedicine, is testing 5,000 samples from blood banks across the country every two weeks and 2,000 people in four hot spots who are farther along in the cycle of the disease.
  • In Gangelt, a small town of about 12,000 in northwest Germany, tests of a first group of 500 residents found that 14 percent had antibodies to the virus. Another 2 percent tested positive for the coronavirus, raising hopes that about 15 percent of the local population may already have some degree of immunity.
  • “The process toward reaching herd immunity has begun,”
  • t may hold valuable insights for places that lag behind as the pandemic runs its course.
  • The mortality rate in the town, for example, turned out to be 0.37 percent, much lower than the national rate of 2.9 percent which is calculated based only on detected infections.
  • “We are at a crossroads,” said Mr. Hoelscher, the professor. “Are we going the route of loosening more and increasing immunity in the summer to slow the spread of this in the winter and gain more freedom to live public life? Or are we going to try to minimize transmissions until we have a vaccine?
  • “This is a question for politicians, not for scientists,” he added. “But politicians need the data to make an informed risk assessment.”
  • “I thought to myself if we’re going into lockdown, we need to start working on an exit strategy now,”
  • The next day, he said he wrote a short pitch to the Bavarian government. Six hours later, he had the green light. It took another three weeks until the test kits had arrived, a new lab was opened and teams of medics started fanning out across the city.
  • Six days after they first rung his doorbell, a doctor and two medical students came back to Mr. Germann’s apartment, household number 420 out of 3,000.They put on disposable protection suits, gloves and goggles and one of them sat down on a plastic stool they had brought along to take a small vial of his blood. Then they removed and bagged their suits, disinfected the stool and any surface they had touched and left. It took all of 10 minutes.
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